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Home My WebLink AboutPRE-CONSTRUCTION TERMITE TREATMENTy Pre- ConstructionCANNIE� BY Termite Treatmef*1e �°uny �s to-dyo� 7670 Okeechobee Blvd., -.West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Builder/Contractor I Treatment Date tea Time• Lot. � � Block Name of Builder R",3?y �C_ Subdivision Name Shell Contractor 2Z)30 K� \-0 Street Address (If known) l Construction Type OM no olithic OFloating/Stemwall OPatio City State zip ❑Entry ❑Driveway OOther: Owner's Name (If known) Product/Treatment Information Treatment Type: n<d ab ❑Patio/Driveway/Entry ❑Final ❑ Wood Treatment ❑ Bait System ❑ Other Product: ❑ Disodium Octaborate ❑ Cypermethrin ' Tmloprid ❑ Bifenthrin ❑ Permethrin ❑ Other: Concentration 0. Mixed Product Applied Square Feet Treated ) 9 111 p'� r Linear Feet Treated ❑ If this box is checked, then Final Perimeter treatment has been completed and the following statement is applicable: Certificate of Compliance: This building has received a complete treatment for the prevention of subterranean termites. This treatment is in accordance with the laws and rules established;by, the Florida Department of Agriculture and Consumer Services. Applicator's Name (please print) f. Applic�pr-signature HES-TE019 10/1l $ti]ettEnvirotm ental Services© 2011